一对胸腹联体-心脏联体双胞胎手术分离的麻醉管理

Anaesthetic management of the surgical separation of a pair of thoracopagus-cardiopagus twins.

作者信息

Suan C, Ojeda R, García-Perla J L, Cerro J, Romero D, Gilabert J, González A, Casas G, Sánchez-Felipe L, Peñasco F, Repullo J

机构信息

Department of Paediatric Anaesthesia, Virgen del Rocío's Children's Hospital, Seville, Spain.

出版信息

Paediatr Anaesth. 1998;8(3):255-7. doi: 10.1046/j.1460-9592.1998.00722.x.

DOI:10.1046/j.1460-9592.1998.00722.x

PMID:9608973

Abstract

We describe the anaesthetic management of the surgical separation of a pair of thoracopagus-cardiopagus twins with a common right atrium and a myocardial tissue bridge containing vascular channels between their ventricles. One of them died during the procedure, the surviving twin is now two years old. The survival of one twin for two years without significant sequelae, after the surgical separation of twins with shared right atrium and fused ventricles, has not previously been reported. Careful preoperative assessment is essential to anticipate potential serious problems during the procedure.

摘要

我们描述了一对胸腹联体-心联体双胞胎的手术分离麻醉管理情况，这对双胞胎有一个共同的右心房，且心室之间有一个包含血管通道的心肌组织桥。其中一个在手术过程中死亡，存活的双胞胎现在两岁。此前尚无报道称，在具有共享右心房和融合心室的双胞胎手术分离后，其中一个双胞胎能存活两年且无明显后遗症。术前仔细评估对于预测手术过程中潜在的严重问题至关重要。